Digital Commons Network^™

Professional Quality Of Life Among Emergency Department Clinicians And Impact Of Trauma Informed Care Training: A Before-And-After Cohort Study, Savannah F. Steinhauser, Rachel Haroz, Iris Jones, Christopher W. Jones, William Skelton, Stephen Trzeciak, Brian Roberts

Cooper Rowan Medical Journal

Objectives: Trauma exposures and high rates of burnout are widespread among emergency department (ED) clinicians and patients. Trauma-informed care (TIC) education promotes resilience for patients and clinicians. However, there remains a scarcity of data on the impact of TIC on ED clinician outcomes. The objectives of this study were to evaluate post-COVID-19 pandemic professional quality of life among ED clinicians and to test if participation in a TIC education initiative among ED clinicians (1) improves professional quality of life and (2) decreases bias toward patients who misuse opioids.

Methods: This was a single center, prospective, parallel before-and-after pilot study conducted …

The Changing Kitchen: Analyzing Sears Mail Order Home Kitchens And Gender Inequality In The United States Between 1908 And 1940, Ella G. Penney

Interior Design Undergraduate Honors Theses

The Sears Roebuck & Co mail order home was no exception to the idea that architecture and design are products of culture and society. Penny Sparke, a scholar of domestic interiors, writes that design is informed by “economics, politics, technology, culture, society, our psychological make-up, ethics, and the world’s ecological systems” (Sparke 8). In 1908, Sears responded to an increase in demand for single-family housing by releasing a home that could be delivered right to your door. This study investigates the ways in which gender inequality, particularly, the confinement of women to domestic space and housekeeping labor, manifests itself in …

Aspirational Architecture: How The Design Of The Barbie Dreamhouse Reflected The Cultural Influences Of Its Time, Eugenio Mendoza Jr

Interior Design Undergraduate Honors Theses

Similarly to the iconic cerulean monologue given by Meryl Streep in the film, The Devil Wears Prada (2006), the trickling and filtering of “stuff” from one art form to another is a significant point of discovery and contention. Whether it be the influence of art to architecture, architecture to art, fashion to architecture, media to art to architecture, or the amalgamation of all art mediums to form a confluence of design and a representation of time in history. This capstone explores the relationship between architectural and interior design to fashion, media, and even cultural events. Particularly, how design is affected …

Predicting Resilience Among Treatment-Referred Youth With A History Of Trauma Exposure: An Exploration Of Risk And Protective Factors., Prabathi Mandara Gunathilake

Electronic Theses and Dissertations

While many children and adolescents experience negative outcomes following exposure to traumatic events, some demonstrate remarkable resilience. Understanding the factors that contribute to this positive adaptation is essential for developing effective interventions. Using secondary data from 199 treatment-referred youth (ages 5 to 18) with histories of maltreatment, refugee experiences, or military-related trauma, collected between 2016 and 2021 by the Metro Louisville’s Center for Promotion of Recovery and Resilience (CPRR) program, this study examined predictors of resilience in trauma-exposed youth and how resilience is conceptualized across different informant perspectives. Hierarchical multiple regression analyses revealed distinct predictive patterns: for youth, personal strengths …

The Voices Behind The Screen: Navigating The Politics Of Work-Time, Identity, Visibility, And Tokenism In The Workplace., John Douglas Broadus Jr.

Electronic Theses and Dissertations

The COVID-19 pandemic has and continues to impact labor and work in numerous ways. As organizations began to adjust to the changes the COVID-19 pandemic brought on to how they operated, there arose a considerable amount of conflict regarding what work is and what work should be. Conflicts arose around issues of work/life balance, work-hour mismatch, health and wellbeing, self-autonomy, and individual vs. collective work, influencing how employee sees themselves, their work, and their role within the organization. This research study will focus on the culture of “work time” that is present within a public-sector organization and the various ways …

It Is Well: A Narrative Study Examining The Impact Of Community Cultural Wealth For Black Students Experiencing Grief During The Covid-19 Era., Daquarius Mahone

Electronic Theses and Dissertations

This dissertation examines the intersection of grief, race, and resilience among Black college students navigating grief during the COVID-19 pandemic at Predominantly White Institutions (PWIs). Through the lens of Community Cultural Wealth (CCW) and employing Narrative Inquiry methodology, this study amplifies the voices of Black students who experienced profound loss during an era marked by both personal grief and societal upheaval. By analyzing their lived experiences, the research reveals how students draw upon cultural assets—such as familial, social, and aspirational capital—to endure and thrive in the face of grief. The study identifies five pivotal themes: personal connection to lost loved …

Can Exploring Before Instruction Improve Underrepresented Stem Students’ Learning Compared To Traditional Methods? Investigating Psychosocial Factors., Katherine G. Golway

Electronic Theses and Dissertations

Increasing evidence suggests that active learning benefits students’ learning outcomes, while also helping to reduce or eliminate grade differences between historically underrepresented (UR) and non-underrepresented (non-UR) students in STEM courses. This dissertation investigates if, and when, a specific active learning strategy – exploratory learning before instruction – can have these learning benefits and impact students’ fundamental needs (i.e., security, belonging, competence, and self-efficacy) and curiosity/interest. In five experimentally-controlled studies conducted within undergraduate STEM courses (physics, engineering, and chemistry), students were randomly assigned to exploratory learning conditions (explore-first) or traditional instruct-then-practice conditions (instruct-first). After completing both the learning activity and lecture-based …

Cord Blood Treatment For Children With Cerebral Palsy: Individual Participant Data Meta-Analysis, Megan Finch-Edmondson, Madison C B Paton, Annabel Webb, Mahmoud Reza Ashrafi, Remy K Blatch-Williams, Charles S Cox, Kylie Crompton, Alexandra R Griffin, Minyoung Kim, Steven Kosmach, Joanne Kurtzberg, Masoumeh Nouri, Mi Ri Suh, Jessica Sun, Morteza Zarrabi, Iona Novak

The Brown Foundation: Institute of Molecular Medicine

Context: Umbilical cord blood (UCB) is a novel treatment for cerebral palsy (CP), with trials indicating UCB can improve gross motor function. However, heterogeneity has limited the ability to interpret findings.

Objective: Assess the safety and efficacy of UCB for improving gross motor function in children with CP, including exploring cell dose effect and responder subgroups.

Data sources: Individual participant data from published reports and registered trials identified via systematic searches.

Study selection: Studies administering UCB to individuals with CP collecting Gross Motor Function Measure (GMFM) scores.

Data extraction: A 1-stage individual participant data meta-analysis was conducted in R to …

Finished!: How Newcomer Students Leveraged Family, Culture And Community To Complete A University Degree, Brenda Eliana Bocanegra

Theses and Dissertations

The transition from high school to college represents a pivotal time in the life of a student. For Latino/a students, this transition may be met with unique challenges shaped by their cultural, socioeconomic and educational backgrounds. This research aims to delve into the multifaceted experiences of newcomer Latino/a students as they navigate the transition from, high school to university, to educators, exploring the factors that influence their paths, the barriers they encounter, and the support systems that helped facilitate their success.

This research used Yosso’s (2005) community cultural wealth as the framework to examine the factors that influenced and impacted …

How Do Women Deal With Beauty Standards?, Mandy Lashay Wilson

Theses and Dissertations

This thesis explores the profound impact of beauty standards on women’s lives, focusing on how unrealistic ideals influence their emotional and physical well-being. Through a series of figurative oil paintings, this work examines women’s actions to conform to and reject these standards. It also explores the consequences of striving to meet or falling short of these ideals, such as emotional turmoil, physical pain, potential social exclusion, as well as the comparison, and competitive beauty culture. This research analyzes the motivations behind striving for beauty standards, such as pursuing attention, success, and validation. Drawing from contemporary literature and visual analysis of …

Breast Cancer Survivors’ Readiness-To-Work Perceptions: A Pilot Study, Joy Darlene Cain

Theses and Dissertations

This pilot study explored the perceptions of women who have been diagnosed with breast cancer and struggles they experienced when returning to work or maintaining employment. It sought to understand the impact of cancer treatment on work demands and how or if that impacted the survivor’s perception of her employment status. This study found significant differences in the RTW perceptions for women with breast cancer in the areas of marital status, physical effort, work strategies, and work-related help. The most significant difference were the differences between women with partners and women without partners. Surprisingly, women without partners, while they do …

Joint Modelling Of Longitudinal Egfr Trajectory And Time To Acute Kidney Injury In Lung Transplant Patients, Samiha Zakir

Theses and Dissertations

Progressive declines in estimated glomerular filtration rate (eGFR) often precede acute kidney injury (AKI), yet the relationship between eGFR trends and AKI risk remains unclear. This study investigates longitudinal eGFR changes and their association with AKI in 459 lung transplant patients followed for up to 7 years (n = 6419). We applied a piecewise linear mixed-effects model to evaluate eGFR trajectories and a Cox proportional hazards model to assess time to AKI. A joint model was used to explore the interplay between longitudinal and survival processes. Key covariates included gender, age at transplantation, antibody-mediated rejection (AMR), and pre-transplant eGFR. Males …

Lauryn C. Salazar: A Life History Of Mariachi Leadership, Berta Alicia Guerra

Theses and Dissertations

The purpose of this qualitative study was to analyze Lauryn C. Salazar’s mariachi/educational leadership style by focusing on her contributions to the community of Texas Tech University and Tarleton State University. Leadership styles, as defined by Northouse, 2021, refer to the distinct approaches leaders use to guide, motivate, and influence their teams. After examining Salazar’s background to place her motivations and actions in the proper context, this study analyzed what Salazar did, how she perceived her actions, and how others perceived her actions. The life history written by the researcher was primarily based on data collected through eight interviews; however, …

Novel Application Of Orthopedic Suture Tape For Sternal Closure After Upper Hemisternotomy, Vishal N. Shah, Joshua R. Chen, Konstadinos A. Plestis

Department of Surgery Faculty Papers

The FiberTape (FT) System (Arthrex, Naples, FL, USA), initially developed for orthopedic surgery, is a new, nonmetallic, suture-based alternative to standard stainless-steel wires for sternal reapproximation. Publications on FT use after cardiothoracic surgery are limited. The FT System has not been used in upper hemisternotomy (UHS) closure. Consequently, we report the use of the FT System for sternal closure in a 70-year-old man after UHS aortic valve replacement and discuss several advantages of its application.

Targeting Bard1 Suppresses A Myc-Dependent Transcriptional Program And Tumor Growth In Pancreatic Ductal Adenocarcinoma, Sohum Patel, Eleanor Jenkins, Rutuj P. Kusurkar, Sherry Lee, Wei Jiang, Avinoam Nevler, Matthew Mccoy, Michael J. Pishvaian, Rosalie C. Sears, Jonathan R. Brody, Charles J. Yeo, Aditi Jain

Department of Surgery Faculty Papers

Pancreatic ductal adenocarcinoma (PDAC) remains one of the deadliest cancers demanding better and more effective therapies. BARD1 or BRCA1-Associated -Ring Domain-1 plays a pivotal role in homologous recombination repair (HRR). However, its function and the underlying molecular mechanisms in PDAC are still not fully elucidated. Here, we demonstrate that BARD1 is overexpressed in PDAC and its genetic inhibition suppresses c-Myc and disrupts c-Myc dependent transcriptional program. Mechanistically, BARD1 stabilizes c-Myc through ubiquitin-proteasome system by regulating FBXW7. Importantly, targeting BARD1 using either siRNAs or CRISPR/Cas9 deletion blocks PDAC growth in vitro and in vivo, without any signs of toxicity to mice. …

Listen To My Story: An Autoethnographic Account Of A Manic Episode, Allison Whitmire

Theses/Capstones/Creative Projects

Bipolar disorder is a very complicated disease. It's first complexity is that it is a mental illness, so it is "invisible" and there is much stigma attached to seeking treatment. The second complexity is that there are both the highs of mania which contain hallucination and delusions for many as well as the lows of depression. These moods cycle throughout one's life. The third complexity is that because bipolar is both genetic and environmental in origin it steeps itself into the roots of family trees and causes generational trauma. Through examining how bipolar disorder has affected my life, these complexities …

Assessment Of Dose-Dependent Cytotoxicity Of Caffeine On Human Colorectal Adenocarcinoma And Foreskin Fibroblast Cell Lines, Sanjay Srinivasan

Theses/Capstones/Creative Projects

Caffeine is a stimulant well-known for its alertness enhancement and energy functions. Beyond its neurological effects, caffeine also influences cellular qualities, including viability and membrane integrity. This study aimed to investigate the cytotoxic effects of caffeine on two distinct human cell lines: Human Colorectal Adenocarcinoma (HT-29) and Foreskin Fibroblasts (HFF). Cells were exposed to varying concentrations of caffeine to evaluate whether its effects were dose dependent. Cell viability was assessed using the Trypan Blue exclusion and Alamar Blue assays. Results showed that HFF cell death was more evident than the HT-29 Cells, displaying a potential therapeutic for cancer treatment.

The Value Of An Academic Library As Told By Its Users, Gabbi Anzalone

Theses/Capstones/Creative Projects

Academic libraries serve many purposes and many users, and no one library is exactly alike. This project seeks to begin pinpointing the value of UNO’s own academic library, Criss Library, through the voices of students, faculty, and staff. These primary users will be the focal point, and their responses will aid in analyzing the common concerns, appreciations, and themes surrounding a library’s value. There will be an analysis and synthesis of insights that is based on both user perspectives of the individuals who have offered responses and broader trends in the perception of academic libraries. It is evident that academic …

Cultural Of Authenticity And Commodification: Analyzing The Aesthetic Waves And Collective Culture In The 2010s And 2020s, Stefanny Leung Yu

Student Theses

The “authentic self” is curated, aestheticized, and most notably, commodified. Digital algorithms, likes, views, and engagement are more than just digital metrics, they are the management of performance. For millions of other users — including the author herself — social media is the locus of personal expression. Most notably, sites like Tumblr, where users in the 2010s posted hazy images or overly filtered graphics along with melancholic song lyrics that match the vibe of the moment, expression was earnest and idealized. Today, social media in the 2020s, new creators like Hannah Neelaman, better known as Ballerina Farm, dress in pastoral …

Labour Companionship And Respectful Treatment Of Women During Childbirth: A Cross-Sectional Study Across 16 Hospitals In Benin, Malawi, Tanzania And Uganda, Soha El-Halabi, Kristi Sidney Annerstedt, Christian Agossou, Fadhlun Al-Beity, Andrea B. Pembe, Phillip Wanduru, Bianca Kandeya, Jean-Paul Dossou, Helle Molsted-Alvesson, Claudia Hanson

Centre of Excellence in Women and Child Health

Introduction: Evidence suggests that women value and benefit from having a labour companion during childbirth. However, the applicability of the evidence to low-income and lower-middle-income countries is limited and varies. Thus, we assessed the association between the presence of labour companions and mistreatment in 16 hospitals of Benin, Malawi, Tanzania and Uganda.

Methods: We conducted a cross-sectional survey using a validated questionnaire administered to women at discharge after birth between December 2021 and March 2024. The main outcomes were factor-weighted respectful treatment score and its subscores on maintained respect and dignity, privacy and maintained confidentiality and no physical and verbal …

Dr. Eve Hinman, A Pioneer In The Protective Design Industry, Ily Michi Nelson, Ellen Elizabeth Untalan, Lani Ku'ulei Alo

Architectural Engineering

This senior project carries on prior work to develop an educational material on the notable female protective design engineer Dr. Eve Hinman, initiated by Cal Poly Architectural Engineering students Michelle Dennin and Paulina Robles in collaboration with faculty member Dr. Anahid Behrouzi. To gain a deeper understanding of Dr. Eve Hinman’s impact on the industry, the project team conducted extensive research into her career including interviews with former employees of the firm that she founded and led, Hinman Consulting Engineers (HCE), and an analysis of the recently acquired collection of library material gifted by HCE to Cal Poly. After completing …

Prefabricated Timber Living: A Modular Sustainable Solution, Hannah Giang, Justin Huang

Architectural Engineering

This senior project is part of the Gateway Decathlon, a two-year, multidisciplinary design-build competition focused on innovative, sustainable housing solutions. Our team designed and constructed a one-story dwelling using cross-laminated timber (CLT) panels to promote low-carbon, industrialized building practices. The structure features a modular layout with sloped roofs and exposed timber interiors, combining environmental responsibility with architectural flexibility. Emphasizing prefabrication and off-site construction, the design supports efficient assembly and disassembly, reduced material waste, and minimal environmental impact. The result is a scalable, adaptable housing prototype aligned with the competition’s goals of creativity, sustainability, and innovation in residential construction.

Pastoral Land Condition: Kimberley Land Condition Standards, Robert Sudmeyer, Rick Fletcher, Kathryn Ryan, Matthew Fletcher, Charles Martin, Philip Thomas, Karen Holmes, Karyn Reeves, Wayne Fletcher

Natural resources published reports

This report outlines the conceptual basis and quantitative land condition standards that define acceptable pastoral land condition for the Kimberley, Western Australia (WA), to meet the regulatory requirements of the Land Administration Act 1997 and the Soil and Land Conservation Act 1945.

The Department of Primary Industries and Regional Development (DPIRD) develops regional-level pastoral land condition standards for WA to implement the Framework for sustainable pastoral management – Revised edition, which is designed to address the Office of the Auditor General’s recommendations to improve the management of pastoral lands in WA. The application of these standards is expected to …

Sustainable Agricultural Practices And Societal Impacts: A Case Study In Central Belize, Lily Hunt

Economics Undergraduate Honors Theses

This thesis examines the relationship between climate change, sustainable agriculture, and rural development through a case study in Central Belize. Built from observations, interviews, and academic research gathered during a summer internship with the Belize Ministry of Agriculture, the research explores the challenges small farmers face as they navigate worsening climate threats - including drought, wildfire, and resource scarcity. With climate change accelerating at a faster rate in Belize than in many other countries, agricultural resilience has become a national priority. This internship focused on collecting applications for the Sustainable and Inclusive Belize Program, a government initiative that provides financial …

The Odds Of War: Links Between Conflict And Service Member Health, Duncan E. Mcnees

Economics Undergraduate Honors Theses

With the recent uptick in global tension and warfare between states, it is increasingly important to understand the nature of different types of conflict and how they affect the most important resources any nation's arsenal - the service member. Although there is a significant amount of raw data for casualties across all recent U.S. conflicts, there are remarkably few studies that examine the impact of specific conflict types directly on veteran disability levels. This paper uses recent data from the U.S. Census Bureau's Community Population Survey (CPS) Veterans Supplement to examine three major conflict periods and their differing effects on …

Rebuilding The American Dream: Understanding And Alleviating First-Time Home Buyer Affordability Challenges In Northwest Arkansas, Samuel R. Butler

Economics Undergraduate Honors Theses

Homeownership is a cornerstone of the American Dream. It is linked to numerous socioeconomic benefits such as social cohesion, civic engagement, imbalance in opportunities, education, and public health. However, in recent years, housing affordability across the nation and in Northwest Arkansas has become challenging.

Part I of this thesis explains the importance of homeownership nationally and the deteriorating conditions of first-time homebuyers. It explains the key drivers of housing affordability over time, and it explains the connection between zoning and affordability.

Part II focuses on the housing market in Northwest Arkansas (NWA). I forecast the NWA housing demand, which highlights …

Did The Youth Hiring Act Of 2023 Impact Wages In Arkansas?, Henley S. Queen

Economics Undergraduate Honors Theses

Some believe Arkansas Act 195 may create more problems than it looks to solve; the paper sets out to find if Arkansas is experiencing any benefits from the passing of the law. This paper is an economic analysis of Arkansas Act 195 of 2023 (The Youth Hiring Act of 2023), which removed a work permit requirement for fourteen and fifteen year olds. The paper also observes data from Iowa since the state passed a similar policy. Using Bureau of Labor Statistics data on waiters, fast food workers, cashiers, and bartenders from 2017 to 2023 in Iowa and Arkansas, it performs …

Spillover Effects Of Foreign Direct Investment Within Japan's Industries, Kenshi Kawade

Economics Undergraduate Honors Theses

This thesis investigates the relationship between inward Foreign Direct Investment (FDI) and Total Factor Productivity (TFP) across Japanese industries to evaluate FDI’s potential for economic revitalization in Japan. Despite policy efforts under Abenomics to attract more FDI, Japan continues to lag behind other developed economies in foreign investment levels, hindered by structural barriers such as keiretsu networks and limited absorptive capacity. Using industry-level panel data from 1994 to 2018, this study applies Granger causality tests and panel regression models to examine the direction and magnitude of FDI spillovers on productivity. The results indicate a one-way causal effect from FDI to …

Foreign Direct Investment And Political Freedom: Causes And Correlations In Panel Data, Colton N. Atha

Economics Undergraduate Honors Theses

Analyzing correlates between political freedom and foreign direct investment through regressions of panel data in order to ascertain the effects a host nation can realize in a globalizing economy by changing their political systems.

Navigating Local Values And External Strategies: Marketing And Development At Mayflower Bocawina National Park, Sophia E. Citro

Economics Undergraduate Honors Theses

This thesis explores the cultural and operational disconnect encountered while developing a marketing strategy for Mayflower Bocawina National Park (MBNP) in Belize. During a summer internship, my partner and I aimed to enhance MBNP’s visibility through targeted marketing initiatives, including website updates, promotional materials, and partnership proposals. However, our efforts revealed a deeper tension between external marketing objectives and the park staff’s prioritization of authenticity and experiential promotion. Through firsthand experience and reflection, this paper analyzes the challenges of aligning development strategies with local values, emphasizing the critical role of community engagement, cultural pride, and participatory planning in sustainable tourism …